been extremely tired past two days. Yesterday stayed home and rested. Today went into work and not too long after started getting burning sensation in both hands and what I thought to be a rash on my arms. Went to my primary and he said it wasn't a rash but a red lacy looking pattern on my arms from my blood vessels contracting a lot. He said it could be a virus but more likely the autoimmune. Feet are starting to burn some too. I don't remember reading about this with Sjogrens. Does anyone with primary sjogrens have this problem or is it most likely another autoimmune? My mother has this problem with her feet but she has diabetes and peripheral neuropathy.